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Connecticut rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.35 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.89
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.29 / $3.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.55 / $2.14